HomeMy WebLinkAboutCLASS II 2012CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1-4 4 3
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location:
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION
pCORRECT &
PROCEED
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Completion Date for C rrections: / 27 /
Received by:
Inspector: Inspector Medina Initial 4`7 Date:
326 -3632
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1443
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location:
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections:
Received by: 4,
Inspector: PSPECO IFRT MI Initial 4% Date:
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Desk Phone: from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1406
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location: GN
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You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections: 3 / / % 2—
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Received by: E- %SfEciiO
Inspector PCtOr Medina Initial 6 / Date: Z- /2-3 //Z-
326-3682
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1406
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location:
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections: j / c / 1 ?_
Received by: i C " NyrjEG /'it/
Inspector: Initial 61t, / ,, Date: 2 / 2-3 / /Z-
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1350
PREVENTION SERVICES DIVISION
2101 H STREET
661) 26 -3979
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Location:
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You are hereby required to take the following action at the above location:
V CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections:
Received by:
Inspector: InSr)pdor Medina Initial Date:
326 -3682
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1350
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location:
You are hereby required to take the following action at the above location:
I CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections: % 2 /1a
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Received by:
Inspector: Initial Date: / . ? 0/ d/
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1358
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location:
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You are hereby required to take the following action at the above location:
ICORRECT /&
CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date f r Corrections:
Received by:
Inspector: Duran— Initial Date:
Desk Phone: 326-36 (from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: 2 37
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You are hereby required to take the following action at the above location:
7 CORRECT & CALL FOR REINSPECTION 0 CORRECT & PROCEED
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Completion Date f rCorrections:
Received by:
Inspector: Mepeder Dulan Initial Date: / /
Desk Phone: 3M3M (from 8:00am to 8:30am)
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KBF -9229
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION A: Business Plan and Inventory Program
B, 17 R_S r.1 a 1_n
FIRE
aRrk r
BAKERSFIELD FIRE DEPT.
Prevention Services .
2101 H Street
Bakersfield, CA 93301.
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
COMMENTS
ADDRESS
230v 21Ug 2 G2ivC al it?S is / 64
PHONE NO. NO OF EMPLOYEES .
FACILITY CONTACT / BUSINESS ID NUMBER_
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did = 0 .21- 0300,5
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED . JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
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BUSIneSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) r / All 111
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) O C tI`1 O() r 5
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
Z VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) 1
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
3 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION 906) & 903
erlt, Ab ec r e
SITE DIAGRAM ADEQUATE & O `HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Si n ture of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by 1 t J
Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire, Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy 323-aiID- mousiness Copy to be Sent in after return to Compliance "
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program Id
4AmrmR S PI C L, 1)
FIRE
r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
COMMENTS
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT Z zn " BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION COMMENTS
V= Violation
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
I]' BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) y t }
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) t t'•''` t -'t ` } t' 1 c t
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
rr
11 VERIFICATION OF LOCATION CCR: 2729.2)
E, PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
Z VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
I d VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
t
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5) A
Ot HOUSEKEEPING
r•
CFC: 304.1)
CIh FIRE PROTECTION C F : 903 & 906)
I
SITE DIAGRAM ADEQUATE & ON HAND
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CCR: 2729.2) Y,
ANY HAZARDOUS WASTE ON SITE? YES NO Si nature of Receipt,
Explain:
POST INSPECTION INSTRUCTIONS:
x
jt 1
Correct the violation(s) noted above by 1
Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept.,.Prevention Services, 2101 H Street, California 93301
CtZj CUMB -
s`bTd tS(Is
Signature (that all violations have been corrected as noted)
Date
White —Business Copy iness Copy to beSent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
223/
BAKERSFIELD FIRE DEPT.
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
M l< Foe/ - LI vo2
FACILITY NAME: Sao ni 2 (X, INSPECTION DATE:
Section 2: Underground age Tank
Programa
Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type o Tank (,t )F -S .0 Number of Tanks _1
Type of Monitoring I Type of Piping
OPERATION
Prevention Services
e x a p t a a 1501 Truxtun Avenue, 1s Floor
Rt Bakersfield, CA 93301
A T Tel.: (661) 326 -3979
Proper owner / operator data on file
Fax: (661) 852 -2171
Page l of I
Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type o Tank (,t )F -S .0 Number of Tanks _1
Type of Monitoring I Type of Piping
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations AjN S
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tan{t Program
Tank Size(s)
Type of Tank
Aggregate Capacity
Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding /labeling
Is tank used to dispense MVF ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
I nspector:
326 -3658
Questions regarding this inspection? Please call us at (661) 326 -3979
k____
Business Site Responsible Party
White — Prevention Services Pink - Business Copy
FD 2156 (Rev. 03/08)
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